NPI | 1497090914 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNA MARIE MILLER Dentist Owner Of Corporation 563-556-3468 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IA 08466) |
Enumeration Date | 2012-12-10 |
Last Update Date | 2012-12-10 |